Provider Demographics
NPI:1174971170
Name:RAGHID, MEHMIYA (MD)
Entity type:Individual
Prefix:
First Name:MEHMIYA
Middle Name:
Last Name:RAGHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:TEKONSHA
Mailing Address - State:MI
Mailing Address - Zip Code:49092-9261
Mailing Address - Country:US
Mailing Address - Phone:517-767-4038
Mailing Address - Fax:
Practice Address - Street 1:2218 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:TEKONSHA
Practice Address - State:MI
Practice Address - Zip Code:49092-9261
Practice Address - Country:US
Practice Address - Phone:517-767-4038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59334207Q00000X
MI4351036031390200000X
MI4301503192207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program